JEFFREY T MACK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069373

License Status

CANCELLED

Business

First Name

JEFFREY T

Last Name

MACK

Business Name

JEFFREY T MACK

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

01/01/1997

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005